A practical approach to circadian rhythm sleep disorders.

@article{Bjorvatn2009APA,
  title={A practical approach to circadian rhythm sleep disorders.},
  author={Bj{\o}rn Bjorvatn and St{\aa}le Pallesen},
  journal={Sleep medicine reviews},
  year={2009},
  volume={13 1},
  pages={
          47-60
        }
}

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References

SHOWING 1-10 OF 107 REFERENCES
Circadian rhythm sleep disorders in adolescents: Clinical trials of combined treatments based on chronobiology
TLDR
A step‐by‐step procedure of combined treatments for the circadian rhythm sleep disorders is proposed, based on clinical studies of patients with delayed sleep phase syndrome and non‐24‐h sleep–wake rhythm.
Light Treatment for Sleep Disorders: Consensus Report
TLDR
Exposure to light early or late in the subjective night has been used therapeutically to produce corrective phase delays or advances in both the sleep pattern and circadian rhythms.
Circadian rhythm sleep disorders: part II, advanced sleep phase disorder, delayed sleep phase disorder, free-running disorder, and irregular sleep-wake rhythm. An American Academy of Sleep Medicine review.
TLDR
Circadian rhythm science has also pointed the way to rational interventions for CRSDs and these treatments have been introduced into the practice of sleep medicine with varying degrees of success.
Light therapy.
TLDR
Light therapy in both outpatient and inpatient trials indicates that light therapy accelerates remission of nonseasonal depression in conjunction with medication, and the critical features of light delivery systems; safety factors and potential adverse effects; and timing and dose optimization for light administration are described.
Phase-dependent treatment of delayed sleep phase syndrome with melatonin.
TLDR
Melatonin advances the circadian clock and sleep in patients with DSPS in a phase-dependent manner, and this is the first study that reports a relationship between timing of melatonin administration and phase changes in patientsWith DSPS.
Circadian rhythm sleep disorders: part I, basic principles, shift work and jet lag disorders. An American Academy of Sleep Medicine review.
TLDR
Circadian rhythm science has also pointed the way to rational interventions for the SWD and JLD, and these treatments have been introduced into the practice of sleep medicine with varying degrees of success.
Phase-shifting effects of bright morning light as treatment for delayed sleep phase syndrome.
TLDR
It is found that 2 h of bright light exposure in the morning together with light restriction in the evening successfully phase advanced circadian rhythms of core body temperature and multiple sleep latencies in patients with delayed sleep phase syndrome.
Bright light, dark and melatonin can promote circadian adaptation in night shift workers.
TLDR
The efficacy of appropriately timed bright light exposure and exogenous melatonin administration for producing circadian adaptation to night work and the impact of individual differences on possible circadian interventions and issues associated with the use of bright light interventions in the field are discussed.
...
1
2
3
4
5
...